| NPI | 1619531621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 96035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 96035) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-08-21 |